| NPI | 1275071888 |
|---|---|
| Other Name | MAEZ HOUSE |
| Entity Type | Organization |
| Authorized Contact | ANITA M KINSEY Finance Director 719-589-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: CO 05R356) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: CO 05R356) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-22 |